"A small example: Imagine you went to the hospital, with stroke-like symptoms (it was later found to be "complicated migraines"). Because you want to actually be treated, you do not out yourself as transsexual. When the triage nurse filled in the forms, he puts female, and you leave it there. (...)
Fast forward to a week later, and I'm (sorry, you) at a neurology department to see a specialist to organize an MRI, when one of the reception people comes out to see you and starts screaming that you're a GODDAMN LIAR because your forms say I'm female but some quirk of the computer system has found your birthdate and surname and pinged up an old treatment from when you were six. Because of this, they decide that your name isn't real either, and it takes three trips to different departments with your changed birth certificate (changed in name but not in sex). In the end, they put a post-it on your file, with your name, your legal bloody name, in quotation marks like it’s a f*cking nickname. And these are the people who are supposed to help you.
Now imagine what happens in an emergency situation.
Imagine you're me, six months before this, and you're young and naive and full of stupid, figuring that putting M will help them you treat you better (ha!), checking yourself in to see a doctor because you’re struggling to breathe. And the dude takes one look at your forms and your barely passing self, and refuses to enter the room. He just stands there at the edge, asking you to holler symptoms at him, and you sit there knowing that if you collapse, this man will pause and debate whether to save you or not."